Individual
MR. JAMAL ANDRADE WINSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5801 CARLYLE ST, CHEVERLY, MD 20785-2928
(909) 331-6521
Mailing address
5801 CARLYLE ST, CHEVERLY, MD 20785-2928
(909) 331-6521
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
184667
TX
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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